Application for a Social Security Card - Asking for Replacement Card beyond allowable limits

Application for a Social Security Card

OMB: 0960-0066

IC ID: 199949

Information Collection (IC) Details

View Information Collection (IC)

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.103-422.110

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SS-5 Revised Privacy Act Statement SS-5- FS Privacy Act Statement (revised).doc No   Printable Only
Other-SS-5-FS Revised Privacy Act Statement SS-5- FS Privacy Act Statement (revised).doc No   Printable Only
Other-SSNAP privacy act statement SSNAP PA Statement.docx No   Printable Only
Instruction Privacy Act Statement for Applicants Interviewed using SSNAP Screens.pdf No   Printable Only
Form and Instruction SS-5 Application for a Social Security Card SS-5.pdf No   Paper Only
Form and Instruction SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised.pdf Yes No Fillable Printable
Other-Internal Screens SSNAP Screens.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

4,000 0
   
Individuals or Households
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,000 0 0 3,100 0 900
Annual IC Time Burden (Hours) 4,000 0 0 3,100 0 900
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS-5-FS - Current SS-5-FS - Current.pdf 11/03/2017
SS-5 (current) SS-5 (revised).pdf 07/30/2018
SSNAP screens current SSNAP Screens (current).pdf 07/30/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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